Rural Health
Resources by Topic: Healthcare business and finance
The Impact of Chronic Underfunding on America's Public Health System: Trends, Risks, and Recommendations, 2024
Provides state-by-state information on public health funding and discusses public health systems at the local, tribal, and territorial levels. Includes information on funding provided to the states by the federal government, as well as state public health budgets. Features information about federal funding for COVID-19 response actions.
Author(s): Matt McKillop, Dara Alpert Lieberman
Date: 08/2024
Sponsoring organization: Trust for America's Health
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Provides state-by-state information on public health funding and discusses public health systems at the local, tribal, and territorial levels. Includes information on funding provided to the states by the federal government, as well as state public health budgets. Features information about federal funding for COVID-19 response actions.
Author(s): Matt McKillop, Dara Alpert Lieberman
Date: 08/2024
Sponsoring organization: Trust for America's Health
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The Cross-State Licensure Continuum: Out-of-State Telehealth Provider Policies
Provides an overview of policy alternatives to full in-state licensure for telehealth providers adopted by states. Describes limited licensure exceptions, telehealth license or registration processes, and interstate licensure compacts, as well as limitations to these policies. Includes a chart indicating which, if any, policies and compacts each state has implemented as of July 2024.
Date: 08/2024
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides an overview of policy alternatives to full in-state licensure for telehealth providers adopted by states. Describes limited licensure exceptions, telehealth license or registration processes, and interstate licensure compacts, as well as limitations to these policies. Includes a chart indicating which, if any, policies and compacts each state has implemented as of July 2024.
Date: 08/2024
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Rural Health in Indiana: Challenges and Strategies
Presentation slides that provide an overview of rural health in Indiana, along with challenges and the strategies to overcome them. Focuses on rural versus urban data on workforce shortages, hospital closures, access to various services, school-based health, and more, with comparative information on the state and national level.
Author(s): Sierra Vaughn
Date: 08/2024
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Presentation slides that provide an overview of rural health in Indiana, along with challenges and the strategies to overcome them. Focuses on rural versus urban data on workforce shortages, hospital closures, access to various services, school-based health, and more, with comparative information on the state and national level.
Author(s): Sierra Vaughn
Date: 08/2024
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Access in Brief: Seniors and Adults with Physical Disabilities
Explores access to Medicaid-funded long-term services and supports (LTSS) among Medicaid beneficiaries age 65 and older and Medicaid beneficiaries aged 18-64 with physical disabilities. Describes the demographics, health status, service use, and experiences with Medicaid home and community-based services (HCBS) of these Medicaid beneficiaries using data from the 2017-2018 National Core Indicators Aging and Disabilities (NCI-AD) Adult Consumer Survey. Presents rural and urban data by multiple factors including dually eligible status.
Date: 08/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Explores access to Medicaid-funded long-term services and supports (LTSS) among Medicaid beneficiaries age 65 and older and Medicaid beneficiaries aged 18-64 with physical disabilities. Describes the demographics, health status, service use, and experiences with Medicaid home and community-based services (HCBS) of these Medicaid beneficiaries using data from the 2017-2018 National Core Indicators Aging and Disabilities (NCI-AD) Adult Consumer Survey. Presents rural and urban data by multiple factors including dually eligible status.
Date: 08/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural and Urban Hospital Differences in Inpatient Stays Involving Sepsis, 2019 and 2021
Explores inpatient hospital stays related to sepsis using the 2019 and 2021 State Inpatient Databases (SID) for 47 States and the District of Columbia. Presents data on the percentage of stays related to sepsis, lengths of stay, costs of stay, and outcomes for sepsis stays for over 4,200 community hospitals. Compares data for rural and urban hospitals by ownership, bed size, teaching hospital status, and safety net designation.
Author(s): Joanna Jiang, Lan Liang, Meghana Chandra, Sai Loganathan
Date: 08/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Explores inpatient hospital stays related to sepsis using the 2019 and 2021 State Inpatient Databases (SID) for 47 States and the District of Columbia. Presents data on the percentage of stays related to sepsis, lengths of stay, costs of stay, and outcomes for sepsis stays for over 4,200 community hospitals. Compares data for rural and urban hospitals by ownership, bed size, teaching hospital status, and safety net designation.
Author(s): Joanna Jiang, Lan Liang, Meghana Chandra, Sai Loganathan
Date: 08/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Voice of the REH CEO: Perspectives from Those Who Have Led Their Organizations Through REH Conversion
Summarizes interviews with executives from three hospitals that converted to Rural Emergency Hospital (REH) status regarding their perspectives on conversion. Describes the assessment of the financial feasibility of REH status, preparation of the communities for conversion, staffing and service line adjustments, and the impact of conversion. Includes legislative considerations that could make REH status more attractive to rural hospitals.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 08/2024
Sponsoring organization: Rural Health Redesign Center
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Summarizes interviews with executives from three hospitals that converted to Rural Emergency Hospital (REH) status regarding their perspectives on conversion. Describes the assessment of the financial feasibility of REH status, preparation of the communities for conversion, staffing and service line adjustments, and the impact of conversion. Includes legislative considerations that could make REH status more attractive to rural hospitals.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 08/2024
Sponsoring organization: Rural Health Redesign Center
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Medicare Advantage in 2024: Enrollment Update and Key Trends
Explores trends related to the growth of the Medicare Advantage (MA) program. Provides statistics on MA enrollment, the types of plans in which beneficiaries are enrolled, and geographic variation. Includes interactive maps that display MA penetration rates by state and county.
Author(s): Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, Tricia Neuman
Date: 08/2024
Sponsoring organization: KFF
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Explores trends related to the growth of the Medicare Advantage (MA) program. Provides statistics on MA enrollment, the types of plans in which beneficiaries are enrolled, and geographic variation. Includes interactive maps that display MA penetration rates by state and county.
Author(s): Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, Tricia Neuman
Date: 08/2024
Sponsoring organization: KFF
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Kansas Marketplace Enrollment Reached Record High for Third Consecutive Year
Provides a data overview of the Kansas 2024 open enrollment period (OEP) for health insurance plans. Includes health insurance information and county-level maps showing percentage of population selecting a plan and the number of insurers available per region.
Author(s): Cynthia Snyder, Viktoria Sterkhova, Kaci Cink, Linda J. Sheppard
Date: 08/2024
Sponsoring organization: Kansas Health Institute
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Provides a data overview of the Kansas 2024 open enrollment period (OEP) for health insurance plans. Includes health insurance information and county-level maps showing percentage of population selecting a plan and the number of insurers available per region.
Author(s): Cynthia Snyder, Viktoria Sterkhova, Kaci Cink, Linda J. Sheppard
Date: 08/2024
Sponsoring organization: Kansas Health Institute
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FY 2025 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule – CMS-1808-F
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Structural Determinants of Health: Hospitals' Unequal Capital Investments Drive Health Inequities
Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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